中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
17期
47-48
,共2页
柴芍六君子汤%乙肝后肝硬化腹水%疗效
柴芍六君子湯%乙肝後肝硬化腹水%療效
시작륙군자탕%을간후간경화복수%료효
Chaishao Liujunzi decoction%Hepatitis B cirrhosis with ascites%Efficacy
目的：评价西医联合柴芍六君子汤加减治疗乙肝后肝硬化腹水的临床疗效。方法：选取2011年3月-2013年7月铜陵市立医院和我院收治127名乙肝后肝硬化腹水的患者，随机分为两组，其中观察组64例，选用常规西医治疗联合柴芍六君子汤加减治疗，对照组63例，选用常规西医治疗，观察并比较两组患者的腹水吸收情况和治疗前后肝功能、HBV-DNA变化情况。结果：观察组腹水吸收情况优为54（84.4%）例，良为9（14.1%）例，差为1（1.6%）例；对照组腹水吸收情况优为50（79.4%）例，良为7（11.1%）例，差为6（9.5%）例，两组腹水吸收情况比较差异有统计学意义（P<0.05）；观察组肝功能各指标改善程度远远大于对照组， HBV-DNA 降低情况例数多于对照组，两组肝功能恢复程度和 HBV-DNA 应答例数比较差异有统计学意义（P<0.05）。结论：西医联合柴芍六君子汤加减治疗乙肝后肝硬化腹水的临床疗效好，肝功能恢复快，值得在临床上予以推广。
目的：評價西醫聯閤柴芍六君子湯加減治療乙肝後肝硬化腹水的臨床療效。方法：選取2011年3月-2013年7月銅陵市立醫院和我院收治127名乙肝後肝硬化腹水的患者，隨機分為兩組，其中觀察組64例，選用常規西醫治療聯閤柴芍六君子湯加減治療，對照組63例，選用常規西醫治療，觀察併比較兩組患者的腹水吸收情況和治療前後肝功能、HBV-DNA變化情況。結果：觀察組腹水吸收情況優為54（84.4%）例，良為9（14.1%）例，差為1（1.6%）例；對照組腹水吸收情況優為50（79.4%）例，良為7（11.1%）例，差為6（9.5%）例，兩組腹水吸收情況比較差異有統計學意義（P<0.05）；觀察組肝功能各指標改善程度遠遠大于對照組， HBV-DNA 降低情況例數多于對照組，兩組肝功能恢複程度和 HBV-DNA 應答例數比較差異有統計學意義（P<0.05）。結論：西醫聯閤柴芍六君子湯加減治療乙肝後肝硬化腹水的臨床療效好，肝功能恢複快，值得在臨床上予以推廣。
목적：평개서의연합시작륙군자탕가감치료을간후간경화복수적림상료효。방법：선취2011년3월-2013년7월동릉시립의원화아원수치127명을간후간경화복수적환자，수궤분위량조，기중관찰조64례，선용상규서의치료연합시작륙군자탕가감치료，대조조63례，선용상규서의치료，관찰병비교량조환자적복수흡수정황화치료전후간공능、HBV-DNA변화정황。결과：관찰조복수흡수정황우위54（84.4%）례，량위9（14.1%）례，차위1（1.6%）례；대조조복수흡수정황우위50（79.4%）례，량위7（11.1%）례，차위6（9.5%）례，량조복수흡수정황비교차이유통계학의의（P<0.05）；관찰조간공능각지표개선정도원원대우대조조， HBV-DNA 강저정황례수다우대조조，량조간공능회복정도화 HBV-DNA 응답례수비교차이유통계학의의（P<0.05）。결론：서의연합시작륙군자탕가감치료을간후간경화복수적림상료효호，간공능회복쾌，치득재림상상여이추엄。
Objective: To evaluate the clinical efficacy of treatment of liver cirrhosis with ascites by western medicine plus Chaishao Liujunzi decoction. Methods:127 hepatitis B patients with liver cirrhosis were randomly divided into two groups, the observation group of 64 cases was given conventional western medicine plus Chaishao Liujunzi decoction, the control group of 63 cases was given conventional western medicine. The absorption of ascites, HBV-DNA changes situation and liver function before and after treatment in two groups were observed and compared. Results:Ascites absorption in the observation, was 54 (84.4%) cases were excellent, 9 (14.1%) good and 1 (1.6%) poor by rating, while in the control, 50 (79.4%) cases were excellent, 7 (11.1%) good, 6 (9.5%) poor. The difference was statistically significant (P<0.05);the case of improvement of liver function index and HBV-DNA descent were more than that in the control (P<0.05). Conclusion: Western medicine plus Chaishao Liujunzi; decoction had good effects with faster recovering time, was worthy of promotion.
